Recommended Amount of Sleep for a Healthy Adult: A Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society

Watson, Nathaniel F.; Badr, M. Safwan; Belenky, Gregory; Bliwise, Donald L.; Buxton, Orfeu M.; Buysse, Daniel J.; Dinges, David F.; Gangwisch, James E.; Grandner, Michael; Kushida, Clete A.; Malhotra, Raman K.; Martin, Jennifer L.; Patel, Sanjay R.; Quan, Stuart F.; Tasali, Esra; Twery, Michael J.; Croft, Janet B.; Maher, Elise; Barrett, Jerome A.; Thomas, Sherene M.; Heald, Jonathan L.

doi:10.5665/sleep.4716

Cited by 901 publications

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“…A global sum ≥5 indicates poor sleep 24, 25, 26. According to the Sleep Research Society/American Academy of Sleep Medicine consensus statement,27 adequate sleep should be ≥7 hours/night, while sleeping <7 hours/night is considered insufficient. The Berlin Sleep Questionnaire was used to determine the prevalence of a high‐risk phenotype for OSA, using responses to questions about snoring, daytime somnolence, hypertension, and BMI 28.…”

Section: Methodsmentioning

confidence: 99%

Effects of Inadequate Sleep on Blood Pressure and Endothelial Inflammation in Women: Findings From the American Heart Association Go Red for Women Strategically Focused Research Network

Aggarwal

Makarem

Shah

et al. 2018

JAHA

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BackgroundInsufficient sleep increases blood pressure. However, the effects of milder, highly prevalent but frequently neglected sleep disturbances, including poor sleep quality and insomnia, on vascular health in women are unclear. We investigated whether poor sleep patterns are associated with blood pressure and endothelial inflammation in a diverse sample of women.Methods and ResultsWomen who participated in the ongoing American Heart Association Go Red for Women Strategically Focused Research Network were studied (n=323, 57% minority, mean age=39±17 years, range=20–79 years). Sleep duration, sleep quality, and time to sleep onset were assessed using the Pittsburgh Sleep Quality Index (score ≥5=poor sleep quality). Risk for obstructive sleep apnea was evaluated using the Berlin questionnaire, and insomnia was assessed using the Insomnia Severity Index. In a subset of women who participated in the basic study (n=26), sleep duration was assessed objectively using actigraphy, and endothelial inflammation was assessed directly in harvested endothelial cells by measuring nuclear translocation of nuclear factor kappa B. Vascular reactivity was measured by brachial artery flow‐mediated dilation (n=26). Systolic and diastolic blood pressure were measured by trained personnel (n=323). Multivariable linear regressions were used to evaluate associations between sleep patterns and blood pressure, nuclear factor kappa B, and flow‐mediated dilation. Mean sleep duration was 6.8±1.3 hours/night in the population study and 7.5±1.1 hour/night in the basic study. In the population study sample, 50% had poor sleep quality versus 23% in the basic study, and 37% had some level of insomnia versus 15% in the basic study. Systolic blood pressure was associated directly with poor sleep quality, and diastolic blood pressure was of borderline significance with obstructive sleep apnea risk after adjusting for confounders (P=0.04 and P=0.08, respectively). Poor sleep quality was associated with endothelial nuclear factor kappa B activation (β=30.6; P=0.03). Insomnia and longer sleep onset latency were also associated with endothelial nuclear factor kappa B activation (β=27.6; P=0.002 and β=8.26; P=0.02, respectively). No evidence was found for an association between sleep and flow‐mediated dilation.ConclusionsThese findings provide direct evidence that common but frequently neglected sleep disturbances such as poor sleep quality and insomnia are associated with increased blood pressure and vascular inflammation even in the absence of inadequate sleep duration in women.Clinical Trial Registration URL: https://www.clinicaltrials.gov. Unique identifier: NCT02835261.

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Section: Methodsmentioning

confidence: 99%

Effects of Inadequate Sleep on Blood Pressure and Endothelial Inflammation in Women: Findings From the American Heart Association Go Red for Women Strategically Focused Research Network

Aggarwal

Makarem

Shah

et al. 2018

JAHA

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“…The mean score on the PSQI was 6.5, which is above the cut-off point of 5> used to distinguish between good and disturbed sleep, while actigraphy data suggested that participants had good sleep efficiency (mean=88.1%) and their sleep duration was within the recommended healthy range [21]. It is plausible that sleep perception rather than the actual sleep may be more closely related to individuals' psychological characteristics, as reported previously in clinical [22,23] and population-based populations [2].…”

Section: Accepted M Manuscriptmentioning

confidence: 99%

Biological and psychological correlates of self-reported and objective sleep measures

Jackowska

Ronaldson

Brown

et al. 2016

Journal of Psychosomatic Research

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M a r t a J a c k o w s k a , Am y R o n a l d s o n , J e n n i e B r o w n , A n d r e w S t e p t o e P I I : S 0 0 2 2 -3 9 9 9 ( 1 6 ) 3 0 0 6 9 -1 DO I :d o i :1 0 . 1 0 1 6 / j . j p s y c h o r e s . 2 0 1 6 . 0 3 . 0 1 7 R e f e r e n c e : P S R 9 1 4 2 T o a p p e a r i n : J o u r n a l o f P s y c h o s om a t i c R e s e a r c h R e c e i v e d d a t e : 1 2 F e b r u a r y 2 0 1 6 R e v i s e d d a t e : 1 7 M a r c h 2 0 1 6 A c c e p t e d d a t e : 2 0 M a r c h 2 0 1 6 P l e a s e c i t e t h i s a r t i c l e a s : J a c k ow s k a M a r t a , R o n a l d s o n Am y , B r ow n J e n n i e , S t e p t o e A n d r ew , B i o l o g i c a l a n d p s y c h o l o g i c a l c o r r e l at e s o f s e l f -r e p o r t e d a n d o b j e c t i v e s l e e p m e as u r e s ,J o u r n a l o f P s y c h o s om a t i c R e s e a r c h( 2 0 1 6 ) , d o i :1 0 . 1 0 1 6 / j . j p s y c h o r e s . 2 0 1 6 . 0 3 . 0 1 7 T h i s i s a PD F fi l e o f a n u n e d i t e d m a n u s c r i p t t h a t h a s b e e n a c c e p t e d f o r p u b l i c a t i o n . A s a s e r v i c e t o o u r c u s t om e r s w e a r e p r o v i d i n g t h i s e a r l y v e r s i o n o f t h e m a n u s c r i p t . T h e m a n u s c r i p t w i l l u n d e r g o c o p y e d i t i n g , t y p e s e t t i n g , a n d r e v i ew o f t h e r e s u l t i n g p r o o f b e f o r e i t i s p u b l i s h e d i n i t s fi n a l f o rm . P l e a s e n o t e t h a t d u r i n g t h e p r o d u c t i o n p r o c e s s e r r o r s m a y b e d i s c o v e r e d w h i c h c o u l d a ff e c t t h e c o n t e n t , a n d a l l l e g a l d i s c l a im e r s t h a t a p p l y t o t h e j o u r n a l p e r t a i n . A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT

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“…11 Calidad de sueño a partir de la pregunta ¿Cómo calificaría, en general, la calidad de su sueño? con escala de respuesta desde muy buena hasta muy mala.…”

Section: Materials Y Métodosunclassified

“…Los determinantes de la duración y necesidad de sueño en un individuo incluyen factores genéticos, psicológicos, sociales, culturales, ambientales y hábitos y, al momento, la recomendación de tiempo de sueño para adultos es la misma en hombres y mujeres; el mayor reporte de sueño corto en hombres pudiera estar condicionado por factores socioculturales. 11 Las prevalencias encontradas en México de insomnio y somnolencia diurna resultan preocupantes por su relación con el incremento de hipertensión arterial y alteraciones del metabolismo de la glucosa, e incluso con deterioro cognitivo asociados con insomnio, 20 e incremento en el riesgo de accidentes laborales y vehiculares. Se ha documentado que residir en zonas urbanas afecta significativamente los hábitos de sueño, especialmente la reducción en las horas de sueño.…”

Section: Síntomas Asociados Con El Sueño En Méxicounclassified

Prevalencia de síntomas de sueño y riesgo de apnea obstructiva del sueño en México

et al. 2018

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Objetivo. Estimar la prevalencia nacional de síntomas asociados con el sueño (SAS) en México, y su distribución por región, localidad y sexo. Material y métodos. Estudio transversal con muestreo probabilístico, representativo a nivel nacional en adultos mayores de 20 años. Se aplicó un cuestionario sobre duración de sueño, insomnio, uso de hipnóticos y riesgo de síndrome de apnea obstructiva del sueño (SAOS). Resultados. Los SAS más frecuentes fueron ronquido (48.5%) y dificultad para dormir (36.9%). Se identificó riesgo elevado de SAOS en 27.3% de los adultos, y se incrementa por índice de masa corporal (RM=1.1), edad (RM=1.03) y habitar zona urbana (RM=1.37). Se reportó insomnio en 18.8% de los participantes, que predomina en mujeres (RM=1.88). La duración promedio de sueño fue de 7.6 ± 3 horas; 28.4% de los adultos duermen <7 horas/ noche. Conclusiones. Existe una elevada prevalencia de SAS. Uno de cada cuatro adultos mexicanos tiene elevada probabilidad de padecer SAOS. La detección y tratamiento de SAS pudieran minimizar los efectos deletéreos en la salud.

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Recommended Amount of Sleep for a Healthy Adult: A Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society

Cited by 901 publications

References 0 publications

Effects of Inadequate Sleep on Blood Pressure and Endothelial Inflammation in Women: Findings From the American Heart Association Go Red for Women Strategically Focused Research Network

Effects of Inadequate Sleep on Blood Pressure and Endothelial Inflammation in Women: Findings From the American Heart Association Go Red for Women Strategically Focused Research Network

Biological and psychological correlates of self-reported and objective sleep measures

Prevalencia de síntomas de sueño y riesgo de apnea obstructiva del sueño en México

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